Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Roles of nurses in emergency and disaster
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Roles of nurses in emergency and disaster
Hana,
I don’t know about you, but I initially had difficulty understanding the benefit of complexity theory. It is clear that health care is a complex system, but I still had difficulty understanding this theory. Your reflection of your situation really put complexity theory in perspective for me. In order to understand issues with a system, it is important to explore how things are related, and how they play into the system (Butts & Rich, 2018). Butts and Rich (2018) discuss how one agent can affect the environment for other agents, supporting your observation that by taking on more responsibility than the other nurses, the condition was created to where the other nurses did not have to implement as much change in the system as you. Arévalo and Espinosa (2015) suggest that if an agent were removed from the system, the system would respond by precipitating actions to adapt, resulting in the development of other agents that provide missing
…show more content…
I have been in situations where I have felt like I was the only one that is working, but reflecting back on days when I am not there, the work still gets done. As nurses, we have an innate desire to fix things but taking complexity science into account we should allow the system to adapt to changes in the environment (Butts & Rich, 2018). Reflecting on your situation it appears that by not trying to control the situation management was actually promoting complex adaptive system to self-organize. Plsek (1997) suggests that leaders in a complex adaptive system can encourage self-organization and emergent behavior through guidance and limited administration control that encourages adaptability and creativity to develop (as cited by Butts & Rich, 2018). Matlow, Wright, Zimmerman, Thomson, and Valente (2006) suggest that strict control over a complex system can create more complications as individuals try to work around the control, therefore promoting self-organization and allowing the system to adapt may provide better
As our health care system continues to evolve and become more focused on a preventive and coordinated approach to patient care, we too must progress and create programs that follow such principles. The Patient-Centered Medical Home (PCMH) model follows similar ideologies and recently has gained increasing support. The patient’s primary care physician, who will provide preventive and continuing care for the patient, directs this medical model. The PCMH model of care is comprised of a health care team working together to serve their patient and provide quality care.1 The model works to empower the patient by promoting communication with not only the physician but with the nursing staff, specialists, and other health care providers. Every patient
My personal nursing philosophies include providing safe and quality nursing care, maintaining patients’ health, managing resources and environment, as well as career advancement. In order to nurture these philosophies, deep knowledge of nursing concepts becomes essential. While reflecting on nursing theorists views on health, Thornes (1998) noticed that nursing practice has departed from the definition of health “as a normative state” and embraced a person’s wholeness approach. Nursing conceptualization of environment has been thought to be immediate surrounding of the patients with disregard to influence of factors such as political, social and economic forces (Thorne, 1998).
In the most fundamental form the theory is put into practice using two general steps, modeling then role-modeling. Modeling can be done by acquiring information about how the patient perceives their health in relation to their life, allowing the nurse to see through the patient’s perspective (Campbell, Finch, Allport, Erickson, & Swain, 1985). Once the nurse is aware of the patient’s level of understanding of illness, acceptance level of illness, stage of dev...
It is important for nurses to be well organized and if leaders are strong in organization, the team will be as well. “Nurse leaders at every level and position must develop organizational and management skills, whether they are managing human, fiscal, policy, time, material or other resources” (Canadian Nurse Association, 2008, p. 9). “Exerting good management skills is part of being a good leader – and leadership skills are necessary for good management” (Canadian Nurses Association, 2008, p. 9). When nurses are able to organize their time, they are able to assess their patients thoroughly. Following these assessments, nurses are able to organize and prioritize which patient is in most need of assistance or immediate attention. If a leader is not well organized themselves, patient care may be affected. Practical Nurses like any other nurses need to have strong organizational skills, especially, if a practical nurse is working on a demanding, fast paced unit. Patient’s health and well-being depends on their ability to manage information and multi-task. It is easy to become overwhelmed and make mistakes if a practical nurse lacks in good organizational skills. Being well organized is even more important when working short staffed. In this instance the practical nurse would have to be able to organize her patients in priority order and be able to divide her time accordingly to provide safe and competent
Uncertainty, according to the theory put into place by Merle Mishel, is the inablility to determine the meaning of illness-related events because of a lack of sufficient cues that allow patients to assign value to objects or events and accurately predict outcomes (Elphee, 2008). This author believes it is important for nurses to completely understand the patient as a whole and what they are experiencing when faced with a new and frightening diagnosis. It is necessary to supply patients with sufficient information regarding their diagnosis, if they desire. This author believes the Theory of Uncertainty may help the nurse understand more fully what challenges and uncertainty the patient is presented with when undergoing a new diagnosis.
Clancy, T.R., Effken, J.A., & Pesut, D. (2008). Applications of complex systems theory in nursing education, research, and practice. Nursing Outlook, 56(5), 248-53.
The best way to look at nursing theories is like the foundational block. Nursing theories are important set the tone of how a nurse will practice. A nurse will use intuition, practice, past expertise and events, and couple with learned theories to work every day in order to give the best patient care. it is all the more important to appreciate what first advanced nursing beyond mechanisms of practice to becoming a knowledge-based force in healthcare: That force is nursing theory and the theoretical thinking and research that generate theory. The complexity and depth of nursing are reflected in its structure of knowledge, which includes discipline-specific components such as philosophies, theories, and research and practice methodologies”( Reed, 2006). Patient care is a wide topic, but a key role in a patient’s care is the patient themselves, an educated patient is vital to their well being and higher level of care.
Nursing theory can be applied to resolve nursing problems or issues, irrespective of the field of practice. A nursing theory benefits nurses and the patients that are in his or her charge. . Depending on the issue or problem that is needed to be solved determines what theory needs to be used. Nursing theory started with Florence Nightingale. She believed that a clean environment would promote better health. Virginia Henderson’s need theory emphasizes the need to ensure that the patient’s independence is being increased while in a health care facility. Ensuring that a patient can increase his or her independence allows for them to experience better outcomes upon discharge home. This is just two examples of nursing theories that were used
Nursing theory is, “the principle that underpin practice and help to generate further nursing knowledge” (Colley, 2003, p. 33). Nursing theory is important in nursing practice. The two theorists that are relevant to my nursing practice are Florence Nightingale and Hildegard Peplau. Florence Nightingale theory was about the patient having a clean and healing environment (Smith & Park, 2015, p. 51). The theory that Hildegard Peplau created was the importance of nurse-patient relationships (Smith & Park, 2015, p. 68). Both of these theories put the patient’s safety and care first. When I am at work I try to form a healthy and healing relationship with all my patients. I also make sure the environment that they are in is conducive to healing, it is hard to do that sometime working in the emergency room. Sometimes it is the little things that a nurse can do for a patient that will make all the difference. Taking both of these theories into
Critique of theory defines evidence-based nursing practice and denotes the congruence between the data from theory-generating research and current implementation (Fawcett & Desanto-Madeya, 2013, p. 313). Critiques must be non-judgemental and must attain the purpose of extending nursing research to address human complexity and nursing interventions. The writer’s purpose for this paper is to analyze Betty Neuman’s Systems Model Theory (NSM) using the criteria: theorist’s background, major assumptions, concepts and relationships, usefulness, testability, parsimony, and theoretical values in extending nursing science, as outlined by Wills (2002, pp. 118-122). The writer addresses the concepts of nursing, health, client, and environment,
Best practice with positive patient outcomes through complex problem-solving requires leadership and management, and this is possible by practicing theory. Nursing practice today analyze complex health care delivery process. In view of this bedside nursing has improved tremendously (James, 2010). The General Systems Theory has established as the protocols for roadmap for the nursing profession. As a nurse, at times we can be very protective even defensive, we have the tendency to believe that our nursing license is a testimony of our competence. We at times ignored the one great characteristic of the general system theory, the need to build and nurture a structural relationship among one another. “The Various parts of a system have functional as well as structural relationships between each other” (Current Nursing Sept, 2013) Our selfishness sometimes overtake our intellects abilities; our egoist has at times overshadowed our ability to be opened, ready to accept constructive criticism. This is a behavior that has prevented us from applying the concept of self-correcting that Bertalanffy has taught us. We often times closed our ears as well as our mind to the general theory of open feedback. We must remember our mission as a nurse, services. When we apply the general system theory, everyone wins, including our patient. We improve the care through self-correcting. We evaluate our delivery of care, re-evaluate our performance and skills, make the improvement and improve the image of the nursing
This interactive grand theory is grounded in humanist philosophy, which expresses the belief that humans are unitary beings and energy fields in constant interaction with the universal energy field. This model guides the nurse who is interested in “physiologic” and “psychological” adoptions (McEwen & Wills, 2014, p. 177). This model views the nurse as holistic adaptive system constantly interacting with different stimuli. And also explains how different sets of interrelated systems maintain a balance between various stimuli to promote individual and environmental transformation (Alkrisat & Dee, 2014). This model creates a framework to provide care for individuals in health and “in acute, chronic, or terminal illness” (Shah, Abdullah, & Khan, 2015, p. 1834). It focuses on improving basic life processes of individuals, families, groups of people; nurses see communities as holistic adaptive systems. It consists of three basic assumptions: philosophical, scientific, and cultural. And it also contains many defined concepts about the environment, health, person, goal of nursing, adaptation, focal, contextual, and residual stimuli, cognator and regulator subsystem, and stabilizer and innovator control processes (McEwen & Wills, 2014, p.
Within the nursing profession, theories continue to make significant contributions to the attainment of professional autonomy by guiding practice, education, and research. This paper will describe, analyze, and argue Ludwig von Bertalanffy’s General Systems Theory (GST) and Dorothea Orem’s Self-Care Deficit Nursing Theory (SCDNT), to compare and contrast their concepts in order to recognize how they are relevant, useful and applicable to the nursing discipline.
Nursing theory can be used to empower nurses by giving autonomy and improve skills. With the rise of healthcare, administrative decisions involving nurses could have a negative effect on patient care. There are four concepts that make up the nursing metaparadigm, person, environment, health and nursing and act as the model for nursing care. All theories in the nursing practice proves valuable within the profession but may vary between different theorists depending on what their beliefs are. Some theorists can view the same situation entirely different. Both Rogers and Neuman were theorist that developed theories for viewing and caring for patients but in two different ways. Professionalization, coherence, and enhanced communication are three arguments when determining the importance of theory in nursing. Multi-disciplinary nursing becomes necessary to achieve positive patient
The synopsis of the summary clearly describes that there is an issue with nursing care. The main issue is that there are unfinished nursing care. In the medical field, nurses are predominantly responsible for maintain quality care for the patient. Because they are predominantly responsible, the issue lies that nursing care is not the way it should be. The outcomes are declining and nurses often lack the time to care for their patient which cause a major declension in patient’s health.